An Ki-Yong, Arthuso Fernanda Z, Allen Spencer J, Ntoukas Stephanie M, Courneya Kerry S
Faculty of Kinesiology, Sport, and Recreation, College of Health Sciences, University of Alberta, Edmonton, AB, T6G 2H9, Canada.
Support Care Cancer. 2025 Mar 26;33(4):324. doi: 10.1007/s00520-025-09377-x.
A diagnosis of cancer (CAN) and/or cardiovascular disease (CVD) may influence physical activity levels; however, no study has examined the independent and combined associations of a CAN and CVD diagnosis with physical activity. The purpose of the present study was to examine the associations of the occurrence, order, and timing of a CAN and/or CVD diagnosis with physical activity in Korean adults.
Korean adults who reported current physical activity and a previous CAN and/or CVD diagnosis in the Korea National Health and Nutrition Examination Survey between 2014 and 2019 were included in the study. Analysis of covariance and multinomial logistic regression were used to examine associations.
Overall, 29,434 (90.1%) were diagnosed with neither disease, 1,591 (4.9%) with CAN only, 1,493 (4.6%) with CVD only, and 137 (0.4%) with both diseases. Participants diagnosed with CAN only reported more leisure-time and moderate physical activity than those diagnosed with neither disease and CVD only; and more walking than those diagnosed with neither disease, CVD only, and both diseases. Participants diagnosed with CVD only reported walking less than those diagnosed with neither disease. Participants diagnosed with both diseases reported no vigorous activity and less strength exercise than neither disease and CVD only. Few associations were found for the order and timing of diagnosis.
Korean adults diagnosed with CAN only reported more physical activity than those diagnosed with CVD only, both diseases, and even neither disease. Understanding the differential impact of a disease diagnosis on physical activity may identify potential intervention strategies.
癌症（CAN）和/或心血管疾病（CVD）的诊断可能会影响身体活动水平；然而，尚无研究考察CAN和CVD诊断与身体活动之间的独立关联及联合关联。本研究的目的是考察韩国成年人中CAN和/或CVD诊断的发生、顺序和时间与身体活动之间的关联。
本研究纳入了在2014年至2019年韩国国家健康与营养检查调查中报告了当前身体活动情况以及既往CAN和/或CVD诊断的韩国成年人。采用协方差分析和多项逻辑回归来考察关联。
总体而言，29434人（90.1%）未被诊断出患有这两种疾病，1591人（4.9%）仅被诊断出患有CAN，1493人（4.6%）仅被诊断出患有CVD，137人（0.4%）同时被诊断出患有这两种疾病。仅被诊断出患有CAN的参与者报告的休闲时间身体活动和中等强度身体活动比未被诊断出患有这两种疾病以及仅被诊断出患有CVD的参与者更多；步行活动比未被诊断出患有这两种疾病、仅被诊断出患有CVD以及同时被诊断出患有这两种疾病的参与者更多。仅被诊断出患有CVD的参与者报告的步行活动比未被诊断出患有这两种疾病的参与者少。同时被诊断出患有这两种疾病的参与者报告的剧烈活动和力量锻炼比未被诊断出患有这两种疾病以及仅被诊断出患有CVD的参与者少。在诊断顺序和时间方面发现的关联较少。
仅被诊断出患有CAN的韩国成年人报告的身体活动比仅被诊断出患有CVD、同时被诊断出患有这两种疾病甚至未被诊断出患有这两种疾病的成年人更多。了解疾病诊断对身体活动的不同影响可能有助于确定潜在的干预策略。
